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原发性肝癌超声波检查肝区出现巨大液平段,同时有高热、类白血病反应者并不少见,临床上易误诊为肝脓肿,应予注意。患者女,40岁,因纳差、乏力3月余,发热、肝区隐痛2月余,于1979年5月7日入院。发热前有畏寒,退热后汗多。曾住某县医院,超声波检查肝脏示较密微波,肝上下径14厘米,肋下2厘米,剑突下6厘米。白细胞35,750,中性粒细胞96%。经使用多种抗生素治疗41天无效而转本院,门诊以“肝脓肿”收入。
It is not uncommon for patients with high-grade fever and leukemia-like reactions to have a large liquid-segment segment in the hepatic region during primary liver cancer ultrasound examination. Clinically, they are often misdiagnosed as liver abscess and should be noted. The female patient, 40 years old, was admitted to hospital on May 7, 1979 because of poor appetite and fatigue for more than three months, fever, and pain in the liver area for more than two months. There is chill before fever and more sweat after fever. Had lived in a county hospital, ultrasound examination of the liver showed more microwave, liver diameter of 14 cm, 2 cm under the ribs, xiphoid 6 cm. Leukocytes 35,750, 96% neutrophils. After 41 days of treatment with multiple antibiotics was ineffective and transferred to our hospital, outpatients were given a “hepatic abscess” income.